As residents in training, we say goodbye to our patients many times over the course of our career. I am not referring to the encounters with dying patients in the hospital, but rather the goodbyes that accompany rotating “off service,” from one team to another.

One day, I sat in a room surrounded by multiple family members to update them on their loved one’s condition. He had been hospitalized for weeks, initially with a subarachnoid hemorrhage followed by hypernatremia and post–intensive care unit delirium among other diagnoses. I discussed with them his current medications and the next steps moving forward, adding that the overall plan would continue to be reevaluated as the new team rotates on.

作为接受培训的居民，我们在职业生涯中多次与患者告别。我指的不是在医院与垂死的病人的相遇，而是指将“停职”从一个团队转到另一个团队所带来的告别。

一天，我坐在一个由多个家庭成员包围的房间里，向他们介绍他们所爱的人的状况。他已经住院了数周，最初因蛛网膜下腔出血，高钠血症和重症监护病房后的ir妄而诊断。我与他们讨论了他目前的药物以及下一步的发展，并补充说，随着新团队的开展，总体计划将继续进行重新评估。